| NPI | 1588166631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016002280) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03653) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-04-09 |